| NPI | 1730933599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 7223) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NY 014611) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |